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CLEVELAND VASCULAR SURG ASOC NPI 1467648014


NPI Information

NPI: 1467648014
Provider Name: CLEVELAND VASCULAR SURG ASOC

Doing Business As: NONE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
20997 LORAIN RD
FAIRVIEW PARK, OH
ZIP 44126
Phone: (440) 356-1009
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CLEVELAND VASCULAR SURG ASOC is a specialist in Fairview Park, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLEVELAND VASCULAR SURG ASOC NPI is 1467648014. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As None.

The provider's business location address is:

20997 LORAIN RD
FAIRVIEW PARK, OH
ZIP 44126-030
Phone: (440) 356-1009

The provider's authorized official is Basem Droubi .
The authorized official title is Owner and has the following contact phone number (440) 356-1009.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 9/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist35040353OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A15208MEDICARE UPINOHIO
2CL9933371MEDICARE PINOHIO
30963533MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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